Provider Demographics
NPI:1386772036
Name:CORNERSTONE HEALTH CARE LLC
Entity type:Organization
Organization Name:CORNERSTONE HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS SERVICES OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-802-2400
Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:225 W WARD ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5423
Practice Address - Country:US
Practice Address - Phone:336-625-3338
Practice Address - Fax:336-625-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC42213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC50139OtherMEDCOST
NCD266OtherPARTNERS
NC012MEOtherBCBS
NC7159778OtherAETNA
NCCD6614OtherRR MEDICARE
NCCC4241OtherRR MEDICARE
NCCC4243OtherRR MEDICARE
NC89012MFMedicaid
NC1212660025OtherDME
NCCB8658OtherRR MEDICARE
NC=========045OtherTRICARE
NC1212660025Medicare NSC
NC89012MFMedicaid